source: FOIAVistA/tag/r/PHARMACY_BENEFITS_MANAGEMENT-PSU/PSULRHL1.m@ 636

Last change on this file since 636 was 636, checked in by George Lilly, 14 years ago

WorldVistAEHR overlayed on FOIAVistA

File size: 6.6 KB
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1PSULRHL1 ;HCIOFO/BH/RDC - Process real time HL7 Lab messages ; 5/15/04 3:10pm
2 ;;4.0;PHARMACY BENEFITS MANAGEMENT;**3**;MARCH, 2005
3 ;
4 ; DBIA 3565 to subscribe to the LR7O ALL EVSEND RESULTS protocol
5 ; DBIA 998 to dig through ^DPT(i,"LR" go get the ien to file #63
6 ; DBIA 91-A to dig through ^LAB(60 to get the name of the test
7 ; DBIA 3630 to call the HL7 PID builder
8 ; DBIA 4727 to call EN^HLOCNRT
9 ; DBIA 3646 to call API: $$EMPL^DGSEC4
10 ; DBIA 4658 to call API: $$TSTRES^LRRPU
11 ;
12 ; This program is called when a lab test is verified. If it is for a
13 ; chemistry test, and not for an employee, an HL7 message will be
14 ; created and sent to the CMOP-NAT server.
15 ;
16 ;
17HL7 ; Entry point for PBM processing - triggered by lab protocol
18 ; LR7O ALL EVSEND RESULTS.
19 ;
20 N ARR,FIRST,LRDFN,PSUEXT,PSUHLFS,PSUHLECH,PSUHLCS
21 ;
22 ; OREMSG is the pointer reference to the global that contains the
23 ; lab data and is passed in by the LR7O ALL EVSEND RESULTS protocol.
24 ;
25 I '$D(@OREMSG) Q
26 ;
27 ; Get Lab parameters
28 ;
29 D INIT^HLFNC2("PSU-SITE-DRIVER",.PSUHL)
30 ;
31 ; Set up CS delimeter for the Pharmacy message
32 ;
33 S PSUHL("CS")=$E(PSUHL("ECH"),1)
34 ;
35 ; Set up segment processing parameters
36 ;
37 S PSUEXT("PSUBUF")=$NA(^TMP("HLS",$J))
38 S PSUEXT("PSUPTR")=0
39 ;
40 ; Get the delimiters that the passed in lab data is using
41 ;
42 D PARAMS
43 S PSUHLECH=$G(ARR("PSUHLECH"),"^~\&")
44 S PSUHLCS=$E(PSUHLECH,1)
45 ;
46 ; Quit if no DFN
47 ;
48 I '$D(ARR) Q
49 I ARR("DFN")=0!(ARR("DFN")="") Q
50 ;
51 ; Quit if patient is an employee
52 ;
53 I $$EMPL^DGSEC4(ARR("DFN"),"PS") Q
54 ;
55 ; Get Lab's equivalent of a DFN (LRDFN)
56 ;
57 S LRDFN=$P(^DPT(ARR("DFN"),"LR"),"^") ; DBIA 998 to get file #63 ien
58 ;
59 ; Loop through the lab data
60 ;
61 S FIRST=1
62 D LOOP
63 ;
64 ; Generate an HL7 if data exists to be sent
65 ;
66 I 'FIRST D GENERATE
67 ;
68 K PSUHL,ERR,OPTNS,ERR
69 ;
70 Q
71 ;
72LOOP ;
73 N CNT,LRIDT,LRSS,PREV1,PREV2,QUIT1,QUIT2,REC,REC1,REC2,SEG,SEG1,SEG2,STR1
74 K ^TMP("HLS",$J)
75 S CNT=0
76 F Q:CNT="" S CNT=$O(@OREMSG@(CNT)) Q:'CNT D
77 . S REC=@OREMSG@(CNT)
78 . S REC=$$STRING(REC,CNT)
79 . S SEG=$P(REC,PSUHLFS,1)
80 . I SEG'="ORC" Q
81 . S STR1=$P(REC,PSUHLFS,4)
82 . S STR1=$P(STR1,PSUHLCS,1)
83 . S LRSS=$P(STR1,";",4)
84 . ;
85 . ; Quit if data is not for Chemistry
86 . ;
87 . I LRSS'="CH" Q
88 . S LRIDT=$P(STR1,";",5)
89 . S QUIT1=0
90 . F Q:QUIT1!(CNT="") S PREV1=CNT,CNT=$O(@OREMSG@(CNT)) Q:'CNT D
91 . . S REC1=@OREMSG@(CNT)
92 . . S REC1=$$STRING(REC1,CNT)
93 . . S SEG1=$P(REC1,PSUHLFS,1)
94 . . I SEG1="ORC" S CNT=PREV1,QUIT1=1 Q
95 . . I SEG1'="OBR" Q
96 . . ; If this is the first OBR being processed i.e. this is valid
97 . . ; chemistry data set the PID segment
98 . . I FIRST D PID S FIRST=0
99 . . D OBR(REC1)
100 . . S QUIT2=0
101 . . F Q:QUIT2 S PREV2=CNT,CNT=$O(@OREMSG@(CNT)) Q:'CNT D
102 . . . S REC2=@OREMSG@(CNT)
103 . . . S REC2=$$STRING(REC2,CNT)
104 . . . S SEG2=$P(REC2,PSUHLFS,1)
105 . . . I SEG2="OBR"!(SEG2="ORC") S CNT=PREV2,QUIT2=1 Q
106 . . . I SEG2'="OBX" Q
107 . . . D OBX(REC2)
108 Q
109 ;
110PID ; Create the PID segment using the standard builder
111 ;
112 N K1,NEWSEG,SEG
113 S SEG="SEG"
114 D BLDPID^VAFCQRY(ARR("DFN"),1,"1,2,3",.SEG,.PSUHL,.ERR)
115 ;
116 ; Loop through the returned array just in case the data is spread over
117 ; more than one node
118 ;
119 S K1="",NEWSEG=""
120 F S K1=$O(SEG(K1)) Q:'K1 D
121 . S NEWSEG=NEWSEG_SEG(K1)
122 ;
123 ; Set the data string into the PBM HL7 array
124 ;
125 D SETSEG(NEWSEG)
126 ;
127 Q
128 ;
129OBR(REC) ; Re-forms lab OBR to only send required data
130 ;
131 N OBRSEG,SITE,SPECDATE
132 S OBRSEG="OBR"
133 S SPECDATE=$P(REC,PSUHLFS,8)
134 S SITE=$P(REC,PSUHLFS,16)
135 S SITE=$TR(SITE,PSUHLCS,PSUHL("CS"))
136 ;
137 ; Create new OBR Segment and pass to SETSEG
138 ;
139 S $P(OBRSEG,PSUHL("FS"),8)=SPECDATE
140 S $P(OBRSEG,PSUHL("FS"),16)=SITE
141 ;
142 ; Set the data string into the PBM HL7 array
143 ;
144 D SETSEG(OBRSEG)
145 ;
146 Q
147 ;
148OBX(REC) ; Reforms lab OBX to only send the data needed
149 N CODES,HRANGE,LABS,LNAME,LR60,LRANGE,LRDN,LOINC,LOINCS,P2,P3,P12,RANGE,RES,RESULTS,SEG,UNITS
150 ;
151 S P2=$P(REC,PSUHLFS,2)
152 S P3=$P(REC,PSUHLFS,3)
153 S P12=$P(REC,PSUHLFS,12)
154 S RESULTS=$P(REC,PSUHLFS,6)
155 S UNITS=$P(REC,PSUHLFS,7)
156 S LABS=$P(REC,PSUHLFS,4)
157 S LR60=$P(LABS,"^",4)
158 S LRDN=$G(^LAB(60,LR60,0))
159 S LRDN=$P($P(LRDN,"^",5),";",2) ; DBIA 91 for data name
160 ;
161 ; Make the call to LRRPU to get the LOINC code for this test
162 ;
163 S RES=$$TSTRES^LRRPU(LRDFN,LRSS,LRIDT,LRDN,LR60,1)
164 ;
165 S CODES=$P(RES,U,8),LOINCS=$P(CODES,"!",3)
166 S LOINC=$P(LOINCS,";",1),LNAME=$P(LOINCS,";",2)
167 S LRANGE=$P(RES,U,3),HRANGE=$P(RES,U,4)
168 S RANGE=LRANGE_"-"_HRANGE I RANGE="-" S RANGE=""
169 ;
170 ; Use the Pharmacy HL7 delimeters
171 ;
172 S LABS=$TR(LABS,PSUHLCS,PSUHL("CS"))
173 ;
174 ; Add LOINC to the list of Labs if it exists
175 ;
176 I LOINC'="" D
177 . ;
178 . ; Append the LOINC data using the pharmacy delimiters
179 . S LABS=LABS_PSUHL("CS")_LOINC_PSUHL("CS")_LNAME_PSUHL("CS")_"99LN"
180 ;
181 ; Put the data in the string
182 ;
183 S SEG="OBX"
184 S $P(SEG,PSUHL("FS"),2)=P2
185 S $P(SEG,PSUHL("FS"),3)=P3
186 S $P(SEG,PSUHL("FS"),4)=LABS
187 S $P(SEG,PSUHL("FS"),6)=RESULTS
188 S $P(SEG,PSUHL("FS"),7)=UNITS
189 S $P(SEG,PSUHL("FS"),8)=RANGE
190 S $P(SEG,PSUHL("FS"),12)=P12
191 ;
192 ; Put the string into the PBM HL7 global
193 ;
194 D SETSEG(SEG)
195 ;
196 Q
197 ;
198STRING(HLSTR,CNT) ; Loops through sub nodes to create a full data string
199 N J
200 S J=""
201 F S J=$O(@OREMSG@(CNT,J)) Q:J="" S HLSTR=HLSTR_@OREMSG@(CNT,J)
202 Q HLSTR
203 ;
204PARAMS ; Get the delimiters used in the lab data
205 ;
206 N CNT,ID,QUIT,REC,RES
207 K ARR
208 S (QUIT,CNT)=0,RES=""
209 F S CNT=$O(@OREMSG@(CNT)) Q:'CNT!(QUIT=2) D
210 . S REC=@OREMSG@(CNT)
211 . I $E(REC,1,3)="MSH" D Q
212 . . S PSUHLFS=$E(REC,4,4)
213 . . S ARR("PSUHLECH")=$P(REC,PSUHLFS,2),QUIT=QUIT+1
214 . I $P(REC,PSUHLFS,1)="PID" D Q
215 . . S ARR("DFN")=$P(REC,PSUHLFS,4)
216 . . S QUIT=QUIT+1
217 Q
218 ;
219GENERATE ; Generate HL7 message
220 ;
221 ; D GENERATE^HLMA("PSU-SITE-DRIVER","GM",1,.RESULT,"",.OPTNS)
222 S OPTNS("QUEUE")="PBM LAB"
223 S RESULT=$$EN^HLOCNRT("PSU-SITE-DRIVER","GM",.OPTNS)
224 I +RESULT'=RESULT D
225 . S ^XTMP("PBM/HLO",DT,$J)=RESULT
226 K ^TMP("HLS",$J)
227 Q
228 ;
229 ;
230SETSEG(SEG) ;
231 ;
232 ;***** STORES THE SEGMENT INTO THE ^TMP("HLS",$J) BUFFER
233 ;
234 ; SEG HL7 segment
235 ;
236 ; The SETSEG procedure stores the HL7 segment into the
237 ; standard HL7 buffer ^TMP("HLS",$J). The <TAB>, <CR> and <LF>
238 ; characters are replaced with spaces. Long segments are split among
239 ; sub-nodes of the main segment node.
240 ;
241 ; The PSUEXT array must be initialized before
242 ; calling this function.
243 ;
244 N I1,I2,MAXLEN,NODE,PTR,PTR1,SID,SL
245 S NODE=PSUEXT("PSUBUF"),PTR=$G(PSUEXT("PSUPTR"))+1
246 S SL=$L(SEG),MAXLEN=245 K @NODE@(PTR)
247 ;--- Store the segment
248 S @NODE@(PTR)=$TR($E(SEG,1,MAXLEN),$C(9,10,13)," ")
249 ;
250 ;--- Split the segment into sub-nodes if necessary
251 D:SL>MAXLEN
252 . S I2=MAXLEN
253 . F PTR1=1:1 S I1=I2+1,I2=I1+MAXLEN-1 Q:I1>SL D
254 . . S @NODE@(PTR,PTR1)=$TR($E(SEG,I1,I2),$C(9,10,13)," ")
255 ;--- Save the pointer
256 S PSUEXT("PSUPTR")=PTR
257 Q
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